Examining predictors and outcomes of fertility consults among children, adolescents, and young adults with cancer.
Amanda June SarafJoseph StanekAnthony AudinoDaniel DaJustaJennifer Hansen-MooreKate McCrackenStacy WhitesideNick YeagerLeena NahataPublished in: Pediatric blood & cancer (2018)
Infertility has a negative impact on quality of life among cancer survivors. Studies show establishing a fertility team results in improved patient satisfaction. A review of electronic medical records was performed to examine predictors of fertility referrals, interventions, and the impact of an opt-out consult mechanism. Findings show many patients, particularly those that are younger, are still not receiving fertility counseling despite the presence of a fertility team. Notably, patients were 3.6 times more likely to receive a consult after the opt-out. Strategies are needed to improve access to fertility related care, particularly in groups where consults are underutilized.
Keyphrases
- childhood cancer
- young adults
- end stage renal disease
- ejection fraction
- newly diagnosed
- palliative care
- chronic kidney disease
- physical activity
- healthcare
- patient satisfaction
- type diabetes
- peritoneal dialysis
- quality improvement
- insulin resistance
- antiretroviral therapy
- papillary thyroid
- middle aged
- men who have sex with men